St. Joseph Manor Health Care, Inc.
NPI #1275515439 in Brockton, Massachusetts
Provider Information
- NPI Number
- 1275515439
- Entity Type
- Organization
- Organization Name
- St. Joseph Manor Health Care, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 15, 2005
- Last Updated
- Nov 20, 2012
Practice Location
- Address
- 215 THATCHER ST
- City
- Brockton
- State
- Massachusetts
- ZIP Code
- 02302-3949
- Phone
- (508) 583-5834
Authorized Official
- Name
- MR. CHRISTOPHER J. KENNEY
- Title
- CEO/ADMINISTRATOR
- Phone
- (508) 583-5834
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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